Morphine Modulation of The Brain's Pain Matrix
试验速览
- 阶段
- 4 期
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Morphine modulation of composite pain assessments
研究概览
简要总结
The aim of the current project is to use a model of painful stimulation of skin, muscles and internal organs, where it is possible to measure activity in the brain centers that process pain simultaneously. Magnetic resonance imaging and electroencephalography are combined to optimize the anatomical and physiological description of brain activation. During administration of morphine we will identify how different brain areas are affected. This knowledge will be used to:
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Understand the mechanisms of morphine to a greater extent than is possible today, including:
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to investigate the mechanisms of morphine versus placebo on pain signals in the spinal cord and brain. This is done by a combination of experimental pain models, neurophysiological and imaging techniques (EEG and fMRI). This can be achieved as both subjective and objective measures of the analgesic effect.
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to examine morphines effect on communication between the centers of the brain that are involved in painprocessing .
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modeling of morphine pharmacokinetics (the understanding of what the body does to the drug, such as. concentration in the blood and the brain), since this is central to understand the pharmacodynamics (the description of what the drug does to the body and thus the effect it has).
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to identify biomarkers that can predict whether healthy subjects respond to morphine by experiencing an analgesic effect.
详细描述
The tests will consist of one main study (I) and one sub-study (i):
I) Experiments in the painlaboratory in the gastroenterology clinic, where 40 healthy subjects will be examined with different pain tests i) Experiments in the MRI scanner, where only 20 of the 40 from the main study will be investigated in a more simple pain model. The individuals who also participate in MRI studies, will consist of those who first sign up
An equal distribution of men and women is wanted. The trial will be a double-blind, placebo-controlled crossover study in which all subjects will be investigated on two seperate days and receive respectively placebo or morphine in random order
Skin stimulation
Skin will be stimulated with thermal and electrical stimuli. Stimulated by:
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Basic Science
- 盲法
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 20 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Signed and dated "Written informed consent"
- •Age between 20 and
- •That it is in the researcher's belief that the subject fully understand the contents of the study and is willing and able to comply with instructions, have the opportunity to meet with visitors, and is expected to complete the entire study. Further, it is in the researcher's beliefs (by which demanded strict action to exclusion criterion 4 and 5) that subjects with abusive tendencies are not included .
- •The person must be healthy ie. without previous chronic or recurrent pain rewarding diseases. Including the person must have:
- •a blood pressure is 140/90 or less. If not satisfied, a medical assessment to determine whether the person is still included, albeit with a comment and reasons recorded in the CRF.
- •a resting heart rate of at least 45 bpm. minute (measured after 5 minutes of recumbent rest). If not satisfied, a medical assessment to determine whether the person is still included, albeit with a comment and reasons recorded in the CRF.
- •That women use safe contraceptive methods as the pill, coil, depot injection of progestin subdermal implantation, hormonal vaginal ring and transdermal patch.
- •Negative pregnancy test prior to the conclusion of the experiment
排除标准
- •Known allergy to study medication
- •Current or previous participation in another drug trial within 30 days before screening.
- •Former participation in trials when given morphine or morphine-like substances.
- •Former addiction behaviors defined as abuse of alcohol, marijuana, opiates or other narcotics or family members who have been / are a drug addict.
- •Earlier pain rewarding or mental illness.
- •Expected need for medical treatment, surgery or hospitalization during the study
- •Concomitant use of strong pain medications
- •Use of any analgesics 24 hours before each test.
研究组 & 干预措施
Placebo
干预措施: orange juice (Other)
Morphine
干预措施: Morphine (Drug)
结局指标
主要结局
Morphine modulation of composite pain assessments
时间窗: october 2010 - december 2012
次要结局
- Side effects of morphine(october 2010 - december 2012)